MEDICARE: DR. DEAN ALLEN SCHRAMEK DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	9572	MD

General Provider Information

NPI Number	:	1487738209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN ALLEN SCHRAMEK DDS

Provider Business Mailing Address
First Line	:	10 EXECUTIVE PARK COURT
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-2645
Country	:	US
Telephone Number	:	301-540-2065
Fax Number	:	301-540-3051

Provider Business Practice Location Address
First Line	:	10 EXECUTIVE PARK COURT
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-2645
Country	:	US
Telephone Number	:	301-540-2065
Fax Number	:	301-540-3051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/08/2007

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